Agency for Healthcare Hospitals with Hospital-Based Off ...

[Pages:8]Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

4/26/2022 10:20 AM

LIC NBR 4179 4201 4408 4385 4333 4414

FILE NBR PROVIDER NAME

100069 100169 100072 100137 100055 100062

ADVENTHEALTH CARROLLWOOD

ADVENTHEALTH DAYTONA BEACH ADVENTHEALTH FISH MEMORIAL ADVENTHEALTH HEART OF FLORIDA ADVENTHEALTH NORTH PINELLAS

ADVENTHEALTH OCALA

ADVENTHEALTH OCALA

4369

100007

ADVENTHEALTH ORLANDO ADVENTHEALTH ORLANDO ADVENTHEALTH ORLANDO ADVENTHEALTH ORLANDO

ADVENTHEALTH ORLANDO ADVENTHEALTH ORLANDO

ADVENTHEALTH ORLANDO ADVENTHEALTH ORLANDO

HBOC EMERGENCY DEPARTMENT NAME

ADVENTHEALTH WESTCHASE ER

HBOC EMERGENCY DEPARTMENT SERVICE

ADDRESS

LOCATION

10977 SHELDON RD, TAMPA

A

EFFECTIVE DATE 02/04/2020

ADVENTHEALTH PORT ORANGE ER ADVENTHEALTH DELTONA ER

5811 S WILLIAMSON BLVD, PORT A

ORANGE

3108 HOWLAND BLVD, DELTONA A

ADVENTHEALTH FOUR CORNERS ER 17430 BALI BLVD, WINTER GARDEN A

ADVENTHEALTH PALM HARBOR ER

34106 US HWY 19 N, PALM

A

HARBOR

ADVENTHEALTH BELLEVIEW ER

6006 SE ABSHIER BLVD,

B

BELLEVIEW

ADVENTHEALTH TIMBERRIDGE ER

9521 SW HWY 200, OCALA

A

07/19/2021 12/04/2019 03/08/2019 12/28/2016 10/12/2021 04/16/2002

ADVENTHEALTH WINTER GARDEN ER 2000 FOWLER GROVE BLVD, FL 1, A

WINTER GARDEN

ADVENTHEALTH PALM PARKWAY ER 7823 PALM PKWY, ORLANDO

G

ADVENTHEALTH LAKE MARY ER

950 RINEHART RD, LAKE MARY

B

ADVENTHEALTH PARTIN SETTLEMENT 2500 E IRLO BRONSON MEMORIAL F

ER

HWY, KISSIMMEE

ADVENTHEALTH WATERFORD LAKES 13691 E COLONIAL DR, ORLANDO C

ER

ADVENTHEALTH ER

8100 RED BUG LAKE RD, OVIEDO D

02/15/2016 04/14/2021 05/31/2016 08/31/2020

09/26/2019 10/15/2019

ADVENTHEALTH LAKE NONA ER

10080 LAKE NONA BLVD, ORLANDO E

08/26/2020

ADVENTHEALTH CLERMONT ER

1909 E HIGHWAY 50, CLERMONT H

11/16/2021

Hospital OCED Report 042622.xlsx

Page 1 of 8

4035 4508 3982 4433

4376 4494 4456 4448

4448

4303 4116 4102 4439

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

100173

ADVENTHEALTH TAMPA

23960099 100026 100025

ADVENTHEALTH WESLEY CHAPEL ASCENSION SACRED HEART BAY

ASCENSION SACRED HEART PENSACOLA

ASCENSION SACRED HEART PENSACOLA

100040 23960088 100093

ASCENSION ST VINCENT'S RIVERSIDE

ASCENSION ST VINCENT'S SOUTHSIDE

BAPTIST HOSPITAL

100088

23960052

100032 100249 100044 100258

BAPTIST MEDICAL CENTER JACKSONVILLE BAPTIST MEDICAL CENTER JACKSONVILLE

BAPTIST MEDICAL CENTER SOUTH

BAPTIST MEDICAL CENTER SOUTH

BAYFRONT HEALTH ST PETERSBURG BRAVERA HEALTH SEVEN RIVERS CLEVELAND CLINIC MARTIN NORTH HOSPITAL DELRAY MEDICAL CENTER

ADVENTHEALTH BRANDON ER

305 E BRANDON BLVD, BRANDON A

ADVENTHEALTH CENTRAL PASCO ER 16625 STATE RD 54, LUTZ

A

ASCENSION SACRED HEART BAY

ASCENSION SACRED HEART PENSACOLA ASCENSION SACRED HEART PENSACOLA

11111 PANAMA CITY BEACH PKWY, A

PANAMA CITY BEACH

1501 W 9 MILE ROAD, PENSACOLA A

7334 NAVARRE PKWY, NAVARRE B

ASCENSION ST VINCENT'S RIVERSIDE 8083 PARRAMORE RD,

A

JACKSONVILLE

ASCENSION ST. VINCENT'S SOUTHSIDE 9820 HUTCHINSON PARK DR,

A

JACKSONVILLE

BAPTIST HOSPITAL EMERGENCY DEPARTMENT NAVARRE

8888 NAVARRE PARKWAY, SUITE A

106, NAVARRE

BAPTIST EMERGENCY CENTER NORTH 11250 BAPTIST HEALTH DRIVE,

B

JACKSONVILLE

BAPTIST EMERGENCY TOWN CENTER 4085 TOWN CENTER PARKWAY, A

JACKSONVILLE

BAPTIST EMERGENCY CENTER

9868 FAMILY PLACE,

B

OAKLEAF

JACKSONVILLE

BAPTIST EMERGENCY CENTER CLAY 1771 BAPTIST CLAY DR, FLEMING A

ISLAND

BAYFRONT HEALTH ER PINELLAS PARK 3070 GRAND AVE, PINELLAS PARK A

BRAVERA HEALTH ER CITRUS HILLS

MARTIN MEMORIAL EMERGENCY CENTER AT ST LUCIE WEST EMERGENCY CENTER LAKE WORTH

907 WEST NORVELL BRYANT HWY, A

HERNANDO

1095 NW SAINT LUCIE WEST

A

BLVDSTE 101, PORT ST LUCIE

6250 LANTANA ROADSTE 1-6, LAKE A

WORTH

4/26/2022 10:20 AM

02/17/2020 01/29/2018 06/26/2017 12/01/2020 04/13/2021 06/24/2020 06/23/2020 11/04/2020 09/28/2016 04/12/2016 11/22/2019 05/01/2013 12/19/2018 08/19/2020 08/18/2009 04/25/2016

Hospital OCED Report 042622.xlsx

Page 2 of 8

4070 4403

4017 4352 4363 4337 4368 4344

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

110403 100243

100254 100236 100223 100242 100080 100209

GOOD SAMARITAN MEDICAL CENTER

HCA FLORIDA BRANDON HOSPITAL HCA FLORIDA BRANDON HOSPITAL HCA FLORIDA BRANDON HOSPITAL HCA FLORIDA BRANDON HOSPITAL HCA FLORIDA BRANDON HOSPITAL HCA FLORIDA CAPITAL HOSPITAL

HCA FLORIDA CAPITAL HOSPITAL

HCA FLORIDA FAWCETT HOSPITAL HCA FLORIDA FORT WALTONDESTIN HOSPITAL

HCA FLORIDA FORT WALTONDESTIN HOSPITAL

GOOD SAMARITAN MEDICAL CENTER'S 5028 OKEECHOBEE BLVD, WEST A

EMERGENCY CENTER AT WEST PALM PALM BCH

BE HCA FLORIDA PLANT CITY

3065 JAMES REDMOND PKWY,

A

EMERGENCY A PART OF HCA

TAMPA

HBRCAANFDLOONRIHDOASRPIVITEARLVIEW

12530 S US HWY 301, RIVERVIEW C

EMERGENCY, A PART OF HCA FLORIDA

HBRCAANFDLOONRIDA UNIVERSITY

5234 E FOWLER AVE, TEMPLE

B

EMERGENCY, A PART OF HCA FLORIDA TERRACE

HBRCAANFDLOONRIDA LAKELAND EMERGENCY, 3526 S FLORIDA AVE, LAKELAND D

A PART OF HCA FLORIDA BRANDON HO

HCA FLORIDA NEW TAMPA

8951 CYPRESS MANOR DR, TAMPA E

EMERGENCY, A PART OF HCA FLORIDA

HBRCAANFDLOONRIDA SOUTHWOOD

2674 CAPITAL CIRCLE SE,

A

EMERGENCY

TALLAHASSEE

HCA FLORIDA LAKE JACKSON

3157 NORTH MONROE ST,

B

EMERGENCY

TALLAHASSEE

HCA FLORIDA CAPE CORAL EMERGENCY

HCA FLORIDA NAVARRE EMERGENCY

322 SW PINE ISLAND RD, CAPE

A

CORAL

1809 GRANADA STREET, NAVARRE B

HCA FLORIDA DESTIN EMERGENCY 200 TEQUESTA DR, DESTIN

A

HCA FLORIDA GULF COAST HOSPITAL HCA FLORIDA JFK HOSPITAL

HCA FLORIDA JFK HOSPITAL

HCA FLORIDA KENDALL HOSPITAL

HCA FLORIDA PANAMA CITY EMERGENCY

3711 US HWY 231, PANAMA CITY A

HCA FLORIDA BOYNTON BEACH

10921 S JOG ROAD, BOYNTON

B

EMERGENCY A PART OF HCA FLORIDA BEACH

HJFCKA FLORIDA PALM BEACH GARDENS 4797 PGA BLVD, PALM BEACH

A

EMERGENCY A PART OF HCA FL JFK GARDENS

HCA FLORIDA TOWN AND COUNTRY 11800 SHERRI LN, MIAMI

A

EMERGENCY

4/26/2022 10:20 AM

07/12/2019 10/03/2012 05/24/2019 01/30/2018 04/03/2020 06/10/2020 11/05/2019 10/20/2020 04/21/2022 04/06/2021 10/30/2003 06/29/2020 03/11/2013 10/15/2012 07/20/2018

Hospital OCED Report 042622.xlsx

Page 3 of 8

4032 4398 4144 4447

4247

4001

4354

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

100161 100248 100246 100179

100204

100212

100226

HCA FLORIDA KENDALL HOSPITAL

HCA FLORIDA LAKE MONROE HOSPITAL

HCA FLORIDA DORAL EMERGENCY

HCA FLORIDA HEATHROW EMERGENCY

10915 NW 41 ST, DORAL

B

4525 INTERNATIONAL PARKWAY, A

SANFORD

HCA FLORIDA LARGO HOSPITAL HCA FLORIDA CLEARWATER

2339 GULF TO BAY BLVD,

A

EMERGENCY A PART OF HCA FLORIDA CLEARWATER

HCA FLORIDA LAWNWOOD

HLACRAGFOLORIDA VERO BEACH

660 S US HIGHWAY 1, VERO

A

HOSPITAL

EMERGENCY A PART OF HCA FLORIDA BEACH

HCA FLORIDA MEMORIAL

LHACWA NFWLOOROIDDA ATLANTIC EMERGENCY 11850 ATLANTIC BLVD,

A

HOSPITAL

A PART OF HCA FL MEMORIAL HOSP JACKSONVILLE

HCA FLORIDA MEMORIAL HOSPITAL

HCA FLORIDA JULINGTON CREEK

42 DOCTORS VILLAGE DRIVE,

B

EMERGENCY A PART OF HCA FL

SAINT JOHNS

MEMORIAL

HCA FLORIDA MEMORIAL

HCA FLORIDA MANDARIN A PART OF 10910 SAN JOSE BLVD,

C

HOSPITAL

HCA FL MEMORIAL HOSPITAL

JACKSONVILLE

HCA FLORIDA NORTH FLORIDA HCA FLORIDA WEST END EMERGENCY 12311 WEST NEWBERRY ROAD, A

HOSPITAL

A PART OF HCA FL NORTH FL HOSP NEWBERRY

HCA FLORIDA NORTH FLORIDA HCA FLORIDA MILLHOPPER

4388 NORTHWEST 53RD AVE,

B

HOSPITAL

EMERGENCY A PART OF HCA NORTH GAINESVILLE

FL HOSPITAL

HCA FLORIDA OCALA HOSPITAL HCA FLORIDA TRAILWINDS VILLAGE EMERGENCY

6131 SEVEN MILE DR, WILDWOOD C

HCA FLORIDA OCALA HOSPITAL HCA FLORIDA SUMMERFIELD

14193 S. US HWY 441,

A

EMERGENCY

SUMMERFIELD

HCA FLORIDA OCALA HOSPITAL HCA FLORIDA MARICAMP EMERGENCY 2897 SE MARICAMP RD, OCALA

B

HCA FLORIDA ORANGE PARK HCA FLORIDA PARK WEST

6477 103RD ST, JACKSONVILLE

A

HOSPITAL

EMERGENCY, A PART OF HCA FLORIDA

ORANGE PA

4/26/2022 10:20 AM

04/08/2019 02/12/2019 11/21/2014 12/11/2019 10/25/2012 06/10/2015 11/28/2016 04/05/2017 12/01/2017

02/12/2020 08/01/2015 08/28/2019 08/01/2015

Hospital OCED Report 042622.xlsx

Page 4 of 8

4450 4513 4307 4193 4400

4318 4399

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

HCA FLORIDA ORANGE PARK HCA FLORIDA NORMANDY PARK

5773 NORMANDY BLVD,

B

HOSPITAL

EMERGENCY, A PART OF HCA FLORIDA JACKSONVILLE

ORANG

100110

HCA FLORIDA OSCEOLA HOSPITAL

HCA FLORIDA OSCEOLA HOSPITAL

HCA FLORIDA HUNTERS CREEK EMER., 12100 S JOHN YOUNG PKWY,

A

PART OF HCA FL OSCEOLA HOSPITAL ORLANDO

HCA FLORIDA MILLENIA EMERGENCY, 4056 Millenia Blvd, ORLANDO

B

PART OF HCA FL OSCEOLA HOSPITAL

23960111 HCA FLORIDA POINCIANA HOSPITAL

HCA FLORIDA CHAMPIONSGATE ER, 8460 CHAMPIONS GATE BLVD,

A

PART OF HCA FL POINCIANA HOSPITAL DAVENPORT

100166 100260

HCA FLORIDA SARASOTA DOCTORS HOSPITAL

HCA FLORIDA ST. LUCIE HOSPITAL

100191

HCA FLORIDA TRINITY HOSPITAL

HCA FLORIDA TRINITY HOSPITAL

100231

HCA FLORIDA TRINITY HOSPITAL

HCA Florida West Hospital

HCA Florida West Hospital

100228

HCA FLORIDA WESTSIDE HOSPITAL

HCA FL LAKEWOOD RANCH EMER,

8500 STATE ROAD 70 EAST,

A

PART OF HCA FL SARASOTA DOCTORS BRADENTON

HHCOASPFLORIDA DARWIN SQ

3275 SW DARWIN BLVD, PORT

A

EMERGENCY A PART OF HCA FLORIDA SAINT LUCIE

ST LUCIE

HCA FLORIDA CITRUS PARK

12922 SHELDON RD, TAMPA

A

EMERGENCY A PART OF HCA FLORIDA

TRINITY

HCA FLORIDA LAKE TARPON

35750 US 19 N, PALM HARBOR

B

EMERGENCY A PART OF HCA FLORIDA

TRINITY

HCA FLORIDA LUTZ EMERGENCY A

1430 DALE MABRY HWY, LUTZ

C

PART OF HCA FLORIDA TRINITY

HCA FLORIDA PERDIDO BAY EMERGENCY

9400 WEST HIGHWAY 98,

A

PENSACOLA

HCA FLORIDA PINE FOREST EMERGENCY

3194 W 9 MILE RD, PENSACOLA B

HCA FLORIDA PLANTATION EMER. A 401 NW 42ND AVE, PLANTATION A

PART OF HCA FLORIDA WESTSIDE

HOSP

Hospital OCED Report 042622.xlsx

4/26/2022 10:20 AM

4/19/2019 06/06/2014 09/13/2019 10/15/2021 03/26/2018 06/12/2015 06/10/2015 11/23/2016 01/29/2018 04/19/2018 08/17/2021 11/15/2021

Page 5 of 8

4476 4186 4146 4064 4066

4113

4393

4119

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

23960046 LAKEWOOD RANCH MEDICAL ER AT FRUITVILLE, AN EXTENSION OF 6760 FRUITVILLE RD, SARASOTA A

CENTER

LAKEWOOD RANCH MEDICAL CENTER

100012

LEE MEMORIAL HOSPITAL

LEE HEALTH COCONUT POINT

23450 VIA COCONUT PT, ESTERO A

100035 100127 100034

MANATEE MEMORIAL HOSPITAL ER AT SUN CITY CENTER AN

16504 S U.S. 301, WIMAUMA

A

EXTENSION OF MANATEE MEMORIAL

HOSPITAL

MORTON PLANT HOSPITAL

BARDMOOR EMERGENCY CENTER

8839 BRYAN DAIRY RD, STE 100, A

LARGO

MOUNT SINAI MEDICAL CENTER EMERGENCY MOUNT SINAI

2845 AVENTURA BLVD, AVENTURA A

MOUNT SINAI MEDICAL CENTER HIALEAH EMERGENCY DEPARTMENT 6050 W 20 AVE, HIALEAH

B

AND SPECIALTY CARE OFFICES

100018

NAPLES COMMUNITY HOSPITAL NCH NORTHEAST

15420 COLLIER BLVD, NAPLES

A

120002

NAPLES COMMUNITY HOSPITAL NCH BONITA

24040 S TAMIAMI TRAIL, BONITA B

SPRINGS

ORLANDO HEALTH DR P

ORLANDO HEALTH EMERGENCY ROOM 1001 E OSCEOLA PKWY,

A

PHILLIPS HOSPITAL

AND MEDICAL PAVILION - OSCEOLA KISSIMMEE

ORLANDO HEALTH DR P PHILLIPS HOSPITAL

23960180 ORLANDO HEALTH HORIZON WEST HOSPITAL

ORLANDO HEALTH EMERGENCY ROOM 10155 DOWDEN ROAD, ORLANDO B

AND MEDICAL PAVILION RANDAL PARK

ORLANDO HEALTH EMERGENCY ROOM 8011 OSCEOLA POLK LINE RD,

A

- REUNION VILLAGE

DAVENPORT

4/26/2022 10:20 AM

12/11/2020 01/22/2019 04/25/2022 03/03/2008 01/11/2008 11/07/2018 11/24/2015 12/21/2018 01/02/2019 06/03/2021 4/19/2022

Hospital OCED Report 042622.xlsx

Page 6 of 8

4180

4393 4523 4342 4191 4340 4200 4080 4044 4286

4464

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

100051 100263

ORLANDO HEALTH SOUTH LAKE ORLANDO HEALTH SOUTH LAKE

HOSPITAL

HOSPITAL JOE H & LORETTA SCOTT

EMERGEN

ORLANDO HEALTH SOUTH LAKE ORLANDO HEALTH SOUTH LAKE

HOSPITAL

HOSPITAL EMERGENCY ROOM AND

MEDICAL PA

16966 CAGAN RIDGE BLVD,

B

CLERMONT

22316 US HIGHWAY 27, LEESBURG A

ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL

ORLANDO HEALTH EMERGENCY ROOM 380 RINEHART RD, LAKE MARY

A

AND MEDICAL PAVILION LAKE MARY

23960121 100124 100087 100077 100183 100135 100128

OVIEDO MEDICAL CENTER

HCA FLORIDA BALDWIN PARK ER, A PART OF OVIEDO MEDICAL CENTER

2361 N SEMORAN BLVD, ORLANDO A

SANTA ROSA MEDICAL CENTER SANTA ROSA MEDICAL CENTER ER AT 4250 WOODBINE ROAD, PACE

A

PACE

SARASOTA MEMORIAL HOSPITAL

SARASOTA MEMORIAL EMERGENCY 2345 BOBCAT VILLAGE CENTER A

ROOM AT NORTH PORT

RD, NORTH PORT

SHOREPOINT HEALTH PORT SHOREPOINT HEALTH ER AND URGENT 2521 DEL PRADO BLVD N, CAPE A

CHARLOTTE

CARE

CORAL

Steward Coral Gables Hospital EMERGENCY CENTER-CORAL GABLES 8665 BIRD RD, MIAMI

A

HOSPITAL

TALLAHASSEE MEMORIAL

TALLAHASSEE MEMORIAL EMERGENCY 1260 METROPOLITAN BLVD,

A

HOSPITAL

CENTER - NORTHEAST

TALLAHASSEE

TAMPA GENERAL HOSPITAL

TGH EMERGENCY CENTER BRANDON 10740 PALM RIVER ROAD, TAMPA A

100113

UF HEALTH SHANDS HOSPITAL UF HEALTH EMERGENCY CENTER -

7405 S W ARCHER RD,

B

KANAPAHA

GAINESVILLE

UF HEALTH SHANDS HOSPITAL UF HEALTH SHANDS EMERGENCY

8475 NW 39TH AVENUE,

A

CENTER - SPRINGHILL

GAINESVILLE

23960032 UF HEALTH THE VILLAGES

UF HEALTH THE VILLAGES HOSPITAL 3800 MEGGISON RD, THE

A

HOSPITAL

EMERGENCY ROOM

VILLAGES

4/26/2022 10:20 AM

07/31/2018 06/04/2018 09/13/2019 05/07/2019 06/04/2019 09/01/2009 03/17/2021 02/26/2020 07/12/2013 03/27/2017 10/01/2016 08/01/2013 01/30/2020

Hospital OCED Report 042622.xlsx

Page 7 of 8

4159 4283

4505

Agency for Healthcare Hospitals witAhdHmosinpiitsatlr-Baatisoend Off-Campus

EmeTrogtaelnHcoysDpietaplsa:rt6m4 ents

Total HBOC Emergency Departments: 99

110010 110008

WELLINGTON REGIONAL MEDICAL CENTER

ER AT WESTLAKE

WEST BOCA MEDICAL CENTER WEST BOCA MEDICAL CENTER EMERGENCY CARE AT COCONUT CREEK

16750 PERSIMMON BLVD EAST, A

WESTLAKE

4890 STATE ROAD 7, COCONUT A

CREEK

23960064 WEST KENDALL BAPTIST

BAPTIST HEALTH EMERGENCY CARE- 14150 SW 136 ST, MIAMI

A

HOSPITAL

COUNTRY WALK

WEST KENDALL BAPTIST

BAPTIST HEALTH EMERGENCY CARE- 14591 SW 26 STREET, MIAMI

B

HOSPITAL

CORAL WAY WEST

4/26/2022 10:20 AM

07/23/2019 07/14/2015 12/06/2018 09/29/2020

Hospital OCED Report 042622.xlsx

Page 8 of 8

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